Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03929 | Date 14/03/2023 |
| Token No | SM/22-23/7529 14/03/2023 | Serial | 013 |
| Patient Name | Mrs. SANCHITA POREL | Contact No | 7985797154 |
| Address | 16/A/2 GURU GARDEN ROAD SERAMPORE 712249 | Age | 24 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||